Individual
LORI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
3316 NE 125TH ST, SUITE #1, SEATTLE, WA 98125-4565
(206) 367-4487
Mailing address
3316 NE 125TH ST, SUITE #1, SEATTLE, WA 98125-4565
(206) 367-4487
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00003828
WA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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